COURSE APPLICATION

DHI ENROLMENT FORM HED-03

This form is to be used to apply for enrolment on all DHIQC courses in the series ‘Quality Beyond Borders’.  Please complete the form (in English).

Instructions on Use

1)  Student to complete

Part A (Student Details),

Part B (Course Application),

Part C (Payment Details) and

Part D (Declaration).

Note: if applying through a separate course provider, enter provider’s name and address under “Payment by Invoice/Course Provider” in Part C; in this case, no further fees are payable to DHIQC by the student. 

2) Student to fill in the relevant fields and click on the SUBMIT button at the end to send the form.

Alternatively print out the form and post to:  

DHI Quality College,  
Orchard House,  
Hillway,  
Charlton Mackrell, 
Somerton, 
Somerset, 
TA11 6AN
United Kingdom 

3) On receipt and processing, DHIQC will acknowledge registration, confirm payment and give access to the course materials.


PART A (STUDENT DETAILS)

Student Full Name *
Student Full Name
Ful Postal Address
Ful Postal Address
PART B (Course Application) - Note Early Bird fees are below this form
part c (payment details)
Payment by student | Payments by company: please include P/O number and contact details below:
Company Address
Company Address
I wish to pay by: *
Cheque attached
Payment by BACS
National Westminster Bank plc. Sort Code: 60-01-08 Account Number: 42126142 Account name: David Hutchins Innovation Ltd. Swift number: NWBK GB 2L IBAN number: GB78 NWBK 6001 0842 1261 42
PART D (DECLARATION)
Date *
Date

 

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